CALL FOR ABSTRACTS

26St Annual Meeting of ASSET October 11 – 14, 2018

Chicago, Illinois

All abstract submissions must be received electronically via email by midnight EST on June 1, 2018 to Tanya Beiswenger at: Tanya_Beiswenger@URMC.Rochester.edu.

For all members who will, or are interested in, presenting at the ASSET Annual Conference, an abstract must be submitted using the abstract preparation and submission guidelines below.

General Abstract Preparation Guidelines:If you have completed work, a work in progress, a research proposal, or an educational presentation that you would like to share, prepare your abstract in accordance with the following instructions. 1. Abstracts must be saved as a Microsoft Word Document (.doc or .docx) or Rich Text

Format (.rtf) file.2. Top, bottom, right, and left margins of the body of the abstract must be 1" using the

standard 8.5" x 11" format. Use either Arial or Helvetica 12pt. font with single spacing. 3. Provide the title of the presentation starting at the top left margin.4. On the next line (no space), provide the names of all authors, with the author who will

make the presentation listed first. Enter the last name, then initials (without periods), followed by a comma, and continue the same format for all secondary authors (if any), ending with a colon.

5. On the same line following the colon, indicate the name of the institution (including the city, state and country) where the topic/research was generated. For collaborative projects where portions of the project were conducted at different institutions, list all authors as described above (#4), then list institutional affiliations using the following consecutive symbols (*, †, ‡, §, ║, ¶, #, **, etc.). Symbols are placed at the end of the author name, and just before the institution name.

6. Double space and begin entering the body of the abstract flush left in a single paragraph with no indentions. The text of the body must be structured (with the headings as indicated in the various formats below). Do not justify the right margin. Do not include tables or figures. The body of the abstract for Original Research is limited to300 words

minimum, 450 words maximum. The body of the abstract for a Clinical Case Report is limited to 300 words minimum, 600 words maximum.

7. Headings for abstract type:a. Clinical Case Presentations : Case Reports describe various aspects of clinical

practice (eg, examination, intervention, administrative approaches, risk management, etc). Background, Purpose, Case Description, Outcomes, Discussion

b. Educational Topic Presentations : Purpose, Description, Summary of Use, and Importance

c. Learning Lab : Purpose, Description, Summary of Use, and Importance. Learning Labs will consist of an initial oral presentation (5 mins) introducing the technique then a 10 min hands on demonstration. The presenter is responsible for securing and coordinating delivery of any equipment necessary for the Learning Lab except for a table.

d. Research Presentations :i. Basic Research (e.g. experimental and epidemiological): Background,

Purpose, Design and Setting, Patients or Other Participants, Methods, Results, Conclusions, Clinical Relevance

ii. Critically Appraised Topics (CATs): Clinical Scenario, Clinical Question, Summary of Key Findings, Clinical Bottom Line, and Strength of Recommendation

iii. Qualitative Research: Background, Purpose, Design and Setting, Patients or Other Participants, Data Collection and Analysis, Results, Conclusions, Clinical Relevance

iv. Survey Research: Background, Purpose, Design and Setting, Patients or Other Participants, Methods, Results, Conclusions, Clinical Relevance

Sample abstract format for a Clinical Case Presentation:

Range of motion and self-reported functional outcomes following latissimus dorsi tendon transfer for irreparable rotator cuff tear using a post-operative physical therapy protocol: a case seriesSum JC*, McGuinness A*, Hatch GF†: *Division of Biokinesiology & Physical Therapy, Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA. †Department of Orthopedics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Clinical Case Presentations: Background: Rotator cuff injuries are the most common shoulder musculoskeletal shoulder disorder. Surgery for massive irreparable rotator cuff tears can involve latissimus dorsi tendon transfers (LDTT), either as an open or arthroscopic-assisted procedure. Several studies have examined outcomes following LDTT, but few have described facilitation techniques aimed at activation of the newly transferred latissimus dorsi tendon. Purpose: The purpose of this retrospective case series is to present the short term outcomes following LDTT, which include active range of motion, passive range of motion,

and functional outcome scores. The secondary purpose is to describe a novel neuromuscular facilitation method used to activate the latissimus dorsi. Case Description: Patients (n=7) diagnosed with massive irreparable rotator cuff tears and underwent either open or arthroscopic-assisted LDTT surgery by a single orthopedic surgeon. One patient also had a reverse total shoulder in combination with an open LDTT, and one patient required a revision surgery. All patients were rehabilitated using the current post-operative protocol by a single physical therapist. The average time from surgery to the initial evaluation was 38.8 days. The average length of physical therapy for this cohort was 2-3 times per week for 8.8 months. To minimize the possibility of subacromial impingement, all passive and active-assisted range of motion was performed in the supine position for 12 weeks. Strengthening techniques consisted of isometric and isotonic external rotation, via manual and progressive resisted exercises, in combination with shoulder forward flexion. The shoulder flexion angle was slowly increased when the patient was able to maintain shoulder external rotation activation in space. To facilitate shoulder external rotation, the patient was encouraged to recruit the latissimus dorsi, using its “native” action of shoulder extension, prior to shoulder external rotation. This was done by manual resistance at the posterior distal humerus. To facilitate shoulder forward flexion, the patient performed multi-angle isometric and manually resisted external rotation holds at various forward flexion ranges to assist latissimus dorsi activation prior to forward flexion. These facilitation methods differ when compared to those reported in prior studies. Outcomes: Supine passive shoulder flexion (FLX), abduction (ABD), external rotation (ER) and internal rotation (IR), standing active shoulder FLX, ABD, and ER at midline were all measured with a standard goniometer. Self-reported outcome were measured using the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and the Modified American Shoulder Elbow Surgeons scale (M-ASES). Outcome measures were recorded at 6 weeks, 12 weeks, 24 weeks, and 40 weeks post-operatively. From initial post-operative evaluation to 40 weeks, patients improved passive FLX from 95° to 157.5°, passive ABD from 86.6° to 118.8°, passive ER from 43.3° to 66.3°, and passive IR from 56.7° to 71.3°. Active range of motion was not measured until 12 weeks post-operative. From 12 weeks post-operative to 40 weeks, patients improved active FLX from 75.8° to 127°, active ABD from 56.7° to 116°, and active ER with arm at the side from 6.7° to 35°. From initial post-operative evaluation to 40 weeks, DASH score improved from 65.3 to 41.4, and M-ASES score improved from 5 to 31. Discussion: This case series provides descriptive information regarding short term post-operative outcomes for patients with massive irreparable rotator cuff tears surgically treated with LDTT. This case series also describes a novel technique used to facilitate latissimus dorsi muscle activation following LDTT. The range of motion outcomes from this study are comparable to those reported in prior studies and systemic reviews. This clinical case series can help guide the clinician in establishing range of motion and functional outcome expectations, as well as provide strategies to achieve these outcomes.

Abstract Submission Guidelines:1. All abstract submissions must be received electronically via email by midnight

EST on June 1, 2018 to Tanya Beiswenger at: Tanya_Beiswenger@URMC.Rochester.edu.

a. The email must indicate the name and email address of the ASSET member wishing to present.

2. An acknowledgement of receipt of abstract submission will be sent by return email within 2 business days of receiving it.

3. The Research Committee will review all abstracts. Late abstract submissions have a negative impact on planning and place an unnecessary burden on organizers in ASSET and ASES. Abstract submissions of poor quality will not be accepted and may be returned for revision. Decisions on acceptance of abstracts and presentation format will be sent by July 13, 2018.

Any questions, contact:Tanya Beiswenger Chair, ASSET Research CommitteeEmail: Tanya_Beiswenger@URMC.Rochester.eduPhone: 585-341-9142